Individual provider Active NPI

Hillary Millicent Heyliger, L.M.T.

  • Massage Therapist
  • Lutz, FL
National Provider Identifier
1528346418
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA57663 Issued in FL
Practice address
18964 N Dale Mabry Hwy
Suite 101
Lutz, FL 33548-4913
Phone
(813) 948-2107
Fax
(813) 948-2790
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA57663 FL Primary

Addresses

Primary practice location

18964 N Dale Mabry Hwy
Suite 101
Lutz, FL 33548-4913

Mailing address

1308 Avonwood CT
Lutz, FL 33559-7902
Phone (813) 541-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA57663FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlake Pain Management, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1528346418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 AVONWOOD CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597902",
            "telephone_number": "813-541-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18964 N DALE MABRY HWY",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "813-948-2107",
            "fax_number": "813-948-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYLIGER",
        "first_name": "HILLARY",
        "middle_name": "MILLICENT",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA57663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.